Cost of a Primary Care Doctor (Family Medicine) Visit
in New York
Reviewed by Momentary Medical Group West PC
New York's healthcare market demonstrates significant geographic variability, with costs concentrated around major metropolitan areas like Albany and Buffalo while maintaining competitive pricing compared to neighboring states. Primary Care Doctor (Family Medicine) visits typically cost between $78 and $200, with a median out-of-pocket expense of $115 for established patients. With 1,461 active Primary Care Doctor (Family Medicine) providers across the state, patients can browse all available providers to find the most cost-effective option for their needs.
Average
$131
Median
$115
Lowest
$78
Highest
$200
Providers
1,461
2% above national average
Compare Similar Procedures
How does family medicine visit compare to related procedures in New York?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Internal Medicine Visit Standard office visit with an internist | 99214 | $73 | $131 | $200 | 2,566 |
Important: These are cost estimates only — not a quote and not medical advice.
The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 99214 — Office/outpatient visit, established patient, moderate complexity). They represent what a patient might pay without insurance.
Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.
This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.
Where this data comes from & what CPT 99214 covers
Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 99214 (Office/outpatient visit, established patient, moderate complexity), as mandated by the CMS Price Transparency Rule.
What CPT 99214 covers: the provider's professional fee for family medicine visit. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.
How to read this data
Negotiated Rate
The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.
P5, Median, P95
P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.
What this does not tell you
These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.
Top Rated Family medicine physicians in New York
Dr. Isaiah Pinckney, MD
Family Medicine Physician · Brooklyn, NY
Dr. Olga Steklova, MD
Family Medicine Physician · Bayside, NY
Dr. Lorne Campbell, MD
Family Medicine Physician · Johnson City, NY
Dr. Alba Pumarol, MD
Family Medicine Physician · Bronx, NY
Dr. Donald Enoch, MD
Family Medicine Physician · Yorktown Heights, NY
Why Primary Care Doctor (Family Medicine) Visit Costs Vary Across New York
New York's healthcare costs run approximately 22% above the national average, reflecting the state's higher cost of living, regulatory environment, and concentration of academic medical centers throughout major metropolitan areas. The state's diverse geography creates distinct cost pressures between densely populated downstate regions and more rural upstate counties where provider overhead and operational expenses vary substantially.
Urban vs. Rural Provider Availability
New York's healthcare delivery concentrates heavily in metropolitan areas like New York City, Albany, Buffalo, Rochester, and Syracuse, creating cost advantages through provider competition while leaving rural counties in the North Country and Southern Tier with fewer Primary Care Doctor (Family Medicine) options. This geographic disparity often results in higher costs per visit in underserved rural areas due to limited competition and higher overhead expenses for maintaining practices in low-population-density regions.
Facility Type and Overhead Costs
Hospital-based outpatient family medicine clinics typically charge facility fees in addition to physician fees, significantly increasing total visit costs compared to independent Primary Care Doctor (Family Medicine) practices throughout New York. Major health systems like NewYork-Presbyterian, University of Rochester Medical Center, and Albany Medical Center operate numerous outpatient locations where facility overhead and academic affiliations contribute to higher pricing structures.
Insurance Market Competition in New York
The state's insurance marketplace includes major carriers Empire BCBS, UHC, Aetna, and Cigna, creating robust competition that helps moderate negotiated rates for Primary Care Doctor (Family Medicine) services in most metropolitan markets. However, certain upstate regions have limited insurer participation, reducing competitive pressure on negotiated rates and potentially leading to higher out-of-pocket costs for patients in those areas.
Physician Supply and Demand in New York
With 1,461 active Primary Care Doctor (Family Medicine) providers serving the state's population of nearly 20 million residents, New York maintains adequate physician supply in metropolitan areas while experiencing shortages in rural counties. This uneven distribution creates pricing pressures where abundant providers compete on cost in urban markets, while limited rural availability allows higher pricing due to reduced competition and longer patient travel distances.
Cost by Procedure Type
Family Medicine Visit can be billed under different CPT codes depending on what's done during the procedure in New York.
Follow-up, low complexity
Follow-up, moderate complexity
Follow-up, high complexity
New patient, low complexity
New patient, moderate complexity
New patient, high complexity
Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.
Jayant Panwar
CEO, Momentary Labs · San Francisco, CA
Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.
The cost figures on this page reflect his ongoing work to make this data accessible to patients.
Frequently Asked Questions — Primary Care Doctor (Family Medicine) Costs in New York
What is the average cost of a Primary Care Doctor (Family Medicine) visit in New York without insurance?
Does New York Medicaid cover Primary Care Doctor (Family Medicine) visits?
How do I find an affordable Primary Care Doctor (Family Medicine) near me in New York?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Primary Care Doctor (Family Medicine) visit in New York?
How does telemedicine affect the cost of seeing a Primary Care Doctor (Family Medicine) in New York?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 99214)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Nebraska Range: $91 – $314 | $215 |
| 2 | New Hampshire Range: $101 – $282 | $198 |
| 3 | Iowa Range: $80 – $314 | $187 |
| 4 | Maine Range: $80 – $255 | $180 |
| 5 | Minnesota Range: $81 – $313 | $162 |
| 6 | Wisconsin Range: $73 – $313 | $161 |
| 7 | California Range: $70 – $250 | $154 |
| 8 | Wyoming Range: $80 – $251 | $152 |
| 9 | Illinois Range: $77 – $226 | $148 |
| 10 | Massachusetts Range: $80 – $271 | $144 |
| 11 | Rhode Island Range: $85 – $200 | $143 |
| 12 | North Dakota Range: $91 – $240 | $141 |
| 13 | Texas Range: $70 – $221 | $139 |
| 14 | New Mexico Range: $80 – $178 | $138 |
| 15 | Vermont Range: $107 – $166 | $138 |
| 16 | Mississippi Range: $67 – $249 | $136 |
| 17 | Michigan Range: $66 – $249 | $134 |
| 18 | South Dakota Range: $77 – $239 | $132 |
| 19 | Hawaii Range: $70 – $239 | $131 |
| 20 | New York Range: $78 – $200 | $131 |
| 21 | Pennsylvania Range: $73 – $228 | $130 |
| 22 | Louisiana Range: $69 – $222 | $130 |
| 23 | Colorado Range: $80 – $210 | $126 |
| 24 | Connecticut Range: $80 – $200 | $124 |
| 25 | Oregon Range: $80 – $204 | $124 |
| 26 | Indiana Range: $80 – $202 | $123 |
| 27 | Ohio Range: $70 – $201 | $122 |
| 28 | Georgia Range: $72 – $188 | $122 |
| 29 | South Carolina Range: $68 – $216 | $121 |
| 30 | Washington Range: $80 – $202 | $121 |
| 31 | North Carolina Range: $66 – $210 | $119 |
| 32 | Nevada Range: $48 – $182 | $118 |
| 33 | Virginia Range: $60 – $191 | $116 |
| 34 | Arkansas Range: $70 – $175 | $116 |
| 35 | West Virginia Range: $80 – $133 | $115 |
| 36 | Florida Range: $54 – $200 | $115 |
| 37 | Idaho Range: $75 – $179 | $115 |
| 38 | New Jersey Range: $53 – $188 | $113 |
| 39 | Missouri Range: $67 – $148 | $113 |
| 40 | Kansas Range: $76 – $158 | $113 |
| 41 | Maryland Range: $49 – $194 | $112 |
| 42 | District of Columbia Range: $53 – $199 | $112 |
| 43 | Kentucky Range: $80 – $170 | $110 |
| 44 | Utah Range: $60 – $180 | $110 |
| 45 | Tennessee Range: $70 – $168 | $109 |
| 46 | Oklahoma Range: $70 – $158 | $104 |
| 47 | Arizona Range: $63 – $168 | $104 |
| 48 | Alabama Range: $61 – $160 | $100 |
| 49 | Delaware Range: $58 – $123 | $91 |
| 50 | Alaska Range: $80 – $80 | $80 |
| 51 | Montana Range: $80 – $80 | $80 |